Yakovenko V A
The National Research University "The Higher School of Economics", 101000, Moscow, Russia,
Probl Sotsialnoi Gig Zdravookhranenniiai Istor Med. 2020 Mar;28(2):326-331. doi: 10.32687/0869-866X-2020-28-2-326-331.
The article analyses financial and statistical aspects of materials from the Interdepartmental Commission for the Revision of Medical Legislation (the G. E. Rhein Commission). The brief analysis of structure, composition and mechanisms of functioning of the Commission is presented. The specificity of the Commission materials is discussed. The information sources are established which were used as background for statistical calculations of the Commission. The calculations themselves are briefly discussed. The particular attention is paid to methods of calculating financial losses in the Russian Empire due to diseases. The study focuses on state health statistics projects and on the financial foundations of the new health care system as well as on their perception by the participants of the Pirogov Society. The data obtained by the Commission was used for devising plans for optimization and centralization of health care, according to which sanitary statistics were to be subordinated to the state. However, financial support to local self-government bodies for sanitary needs was mentioned. Although the physicians from the Pirogov Society had critical attitude to most ideas of the Commission, in the matter of financing they were not only agreed upon with main proposals of the Commission but were also ready to go even further.
本文分析了医学立法修订跨部门委员会（G.E.莱茵委员会）材料的财务和统计方面。介绍了该委员会的结构、组成和运作机制的简要分析。讨论了委员会材料的特殊性。确定了用作委员会统计计算背景的信息来源。简要讨论了计算本身。特别关注俄罗斯帝国因疾病造成的财务损失的计算方法。该研究聚焦于国家卫生统计项目、新医疗体系的财务基础以及皮罗戈夫协会参与者对它们的看法。委员会获得的数据被用于制定医疗保健优化和集中化计划，据此卫生统计将隶属于国家。不过，文中提到了对地方自治机构卫生需求的财政支持。尽管皮罗戈夫协会的医生对委员会的大多数想法持批评态度，但在融资问题上，他们不仅同意委员会的主要提议，甚至还准备更进一步。
